Kevin J Ennis, MD - Medicare Internal Medicine in Danvers, MA

Kevin J Ennis, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Danvers, Massachusetts. His current practice location is 75 Lindall Street, Center For Healthy Aging, Danvers, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 774-4400.

Kevin J Ennis is licensed to practice in Massachusetts (license number 225012) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508804725.

Contact Information

Kevin J Ennis, MD
75 Lindall Street, Center For Healthy Aging,
Danvers, MA 01923
(978) 774-4400
Not Available

Map and Direction




Physician's Profile

Full NameKevin J Ennis
GenderMale
SpecialityInternal Medicine - Geriatric Medicine
Location75 Lindall Street, Danvers, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508804725
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9234175860
  • Enrollment ID: I20051019000508

Medical Identifiers

Medical identifiers for Kevin J Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508804725NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 225012 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin J Ennis allows following entities to bill medicare on his behalf.
Entity NameHarbor Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881692366
PECOS PAC ID: 0345146213
Enrollment ID: O20040223000221
Entity NameNortheast Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508052218
PECOS PAC ID: 1153213202
Enrollment ID: O20040420001051
Entity NameNortheast Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316917941
PECOS PAC ID: 1153213202
Enrollment ID: O20040721000148

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin J Ennis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin J Ennis, MD
75 Lindall Street, Center For Healthy Aging,
Danvers, MA 01923

Ph: (978) 774-4400
Kevin J Ennis, MD
75 Lindall Street, Center For Healthy Aging,
Danvers, MA 01923

Ph: (978) 774-4400

Reviews and Comments


Internal Medicine Doctors in Danvers, MA

Margaret Legner, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Lahey Primary Care, Danvers, 5 Federal Street 1st Floor, Danvers, MA 01923
Phone: 978-777-6544    
Dr. Edward J Loughery, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 480 Maple Street, Northeast Cardiology, Danvers, MA 01923
Phone: 978-304-8360    Fax: 978-304-8320
B. Geoffrey Piken, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 5 Federal St, Danvers, MA 01923
Phone: 978-774-0730    
Dr. Timothy M Loughran, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 480 Maple St Ste 204, Danvers, MA 01923
Phone: 978-774-0989    
Mauri Roger Cohen, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5 Federal Street, Lahey Health Primary Care, Danvers, Danvers, MA 01923
Phone: 978-750-0200    Fax: 978-450-0220
Ruili Gu, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Hutchinson Dr, Danvers, MA 01923
Phone: 978-739-6950    Fax: 978-777-9274
Michelle Hyunju Lee, M.D.
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 102 Endicott St, Danvers, MA 01923
Phone: 617-643-7972    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.